| NPI | 1982475570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PHILIP STEINHAUSER CEO 309-797-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-22 |